ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I know that I can change my advance directives if needed in the future." This statement indicates an understanding of advance directives, which are legal documents that allow individuals to specify their healthcare preferences. Being able to change the directives reflects the client's awareness of the flexibility and control they have over their healthcare decisions.
Explanation for why other choices are incorrect:
B: "My healthcare proxy will make decisions as soon as I sign the power of attorney." This is incorrect because a healthcare proxy only makes decisions when the individual is unable to do so themselves.
C: "My family can overrule the decisions made by my healthcare proxy." This is incorrect because the healthcare proxy's decisions should be respected and followed.
D: "Advance directives from one state are valid in any other state." This is incorrect as advance directives must comply with the laws of the state they are in.
Question 2 of 5
While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's continuous passive motion (CPM) device. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action is to choose option C: Remove the device from the room. This is the first step to ensure the safety of the client and prevent any potential hazards associated with the fraying electrical cord. By removing the device from the room, the nurse eliminates the immediate risk of electrical malfunction or injury to the client. Initiating a requisition for a replacement device (option
A) can be done after ensuring the client's safety. Reporting the defect to equipment maintenance staff (option
B) is important but not as urgent as removing the device. Ensuring the device inspection sticker is current (option
D) is not the priority when a safety issue is identified.
Question 3 of 5
A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. For which of the following therapeutic effects should the nurse monitor the client?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes 2+. In clients receiving magnesium sulfate for preeclampsia, monitoring deep tendon reflexes is crucial as magnesium sulfate can lead to muscle weakness and decreased reflexes, indicating potential toxicity. Monitoring for 2+ reflexes ensures the client is within the therapeutic range. Pulse rate (
B) and urine output (
C) are important to monitor but are not specific therapeutic effects of magnesium sulfate. Proteinuria (
D) is a sign of preeclampsia and not a therapeutic effect of the medication.
Question 4 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is to check the client for injuries first. This is crucial to assess the immediate physical condition of the client and determine the severity of any potential harm. This step ensures timely intervention and appropriate care. Moving hazardous objects (
B) is important, but not the first priority. Notifying the provider (
C) can be done after ensuring the client's safety. Asking the client about how she felt (
D) can wait until the immediate safety concerns are addressed.
Question 5 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C: "It might help me to listen to music while trying to sleep." This answer indicates that the client understands non-pharmacological pain management strategies taught preoperatively. Music can distract from pain, promote relaxation, and improve sleep quality. Option A suggests misinterpreting the need for more frequent pain medication. Option B distracts from pain temporarily but does not address long-term management. Option D indicates avoidance behavior, which is not a constructive approach to pain management.